| NPI | 1982803292 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: ID MC-2847) | 
| Additional Taxonomies | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: KY 46700) | 
| 208M00000X Hospitalist (Licence: NM MD2012-0465) | |
| Enumeration Date | 2007-07-16 | 
| Last Update Date | 2024-07-15 |